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inter-observer reliability. Two facilities provided access to their RH (n~100) and LTC
(n~30-45) dining rooms. This observation-based tool captures both frequency and nature of
interactions. Mealtime observations were carried out by trained researchers for
development (n=13 tables), refinement (n=12 tables) scaling (n=17 tables) and reliability
(n= 30 tables). Tablemate and staff level sub scores are calculated considering number of
residents at the table and duration of the meal. Statistical analysis using Cohen’s kappa
demonstrated that the tool possesses adequate reliability for capturing frequency of
interaction among residents and staff [kappa 0.712 and 0.790 respectively]; reliability
for nature of interaction was lower [kappa 0.590 and 0.441 respectively]. Construct
validity testing is planned to complete the development of the MSILTC.
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